By Ruth Garner
It is either a excitement and a privilege to be invited to give a contribution a foreword to this publication, which merits - and wishes - to be learn by means of nearly everybody who's fascinated by the remedy and subse quent welfare of the sufferers of serious accidents of the mind. a few buddies, family members and workmates may be helped via examining a few elements of it, yet, if the e-book has the impression it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the group, those laymen could be certainly knowledgeable and assisted through a number of individuals of the inevitably huge healing staff. The advancements in equipment of resuscitation that experience taken position over the past forty years or so have abolished the formerly fatalistic readiness to simply accept week or in coma after a head harm used to be almost a sentence to loss of life from pneumonia. After it had develop into attainable to save lots of lives it progressively turned transparent that survival of the sufferer was once now not unavoidably by means of restoration of the mind and that the cost of luck, in saving lives, used to be a popula tion of cerebral cripples that was once expanding on the price of a thousand or extra a yr during the state. even though this determine has remained in regards to the comparable for greater than twenty years, there was a good development within the quantity of curiosity, the traditional of care and the standard of effects which are being achieved.
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Extra info for Acute Head Injury: Practical management in rehabilitation
Incontinence and retention result from disturbance of the afferent or efferent pathways between the brain and the viscera, or of pathways within the brain itself. In some cases of retention, dribbling (retention with overflow) of urine may be misinterpreted as incontinence. Coma removes voluntary control of the bowel and bladder which 39 ACTIVITIES OF DAILY LNING is not necessarily restored as consciousness returns. Some patients need a great deal of help in regaining control of these organs. Initially, it is nurses who assume responsibility for the care of bladder and bowel as part of the general care of the patient and it is probable that within the hospital or within the health authority, a nurse will be designated as adviser on incontinence and give advice on suitable appliances and other methods of treatment.
38 CONTINENCE Perceptual considerations Independence in dressing is dependent on such perceptual abilities as intact form constancy, figure/ground, spatial awareness, as well as absence of apraxias or agnosias. Careful records of the patient's performance during dressing should be kept and analysed in relation to the results of tests of perception. The presence of sensory impairment and communication disturbances (both expressive and receptive) should be considered, as these may affect the patient's performance and may be misinterpreted as perceptual dysfunction.
If there is neglect of one half of the body, stimulation of the affected side can be conducted in an attempt to make the patient aware of it. This may be attempted by the therapist sitting on the affected side so as to encourage the patient to acknowledge it (training in scanning across the mid line). While encouraging the patient to watch, wash the neglected side, giving clear words of explanation and orientation. Encourage the patient to do the same thing with his/her unaffected hand whilst watching.